Taryn Wise, PsyD
Psychologist, Clinical Child & Adolescent in Florence, KY. Individual provider (NPI-1).
NPI number1861978447
StatusActive
Last updated in NPPESFeb 17, 2022
Details
- NPI
- 1861978447
- Entity type
- Individual (NPI-1)
- Name
- Taryn Wise
- Credential
- PsyD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2018
- Certification date
- Feb 17, 2022
- Last updated
- Feb 17, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC2200X | Psychologist, Clinical Child & Adolescent | 269154 | KY | Yes |
Practice location
6900 Houston Rd Ste 11Florence, KY 41042-4891
Phone 859-525-4911
Mailing address
4 Augusta AveFt Wright, KY 41011-3604
Phone 502-724-2017
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